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Valsalva Maneuver

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181. Perineal ultrasound for the measurement of urethral mobility: a study of inter- and intra-observer reliability. (Abstract)

examination.We included 50 women from the multicenter randomized 3PN study ("Prenatal Perineal Prevention"). BND was measured by two operators either during pregnancy (at 20 weeks of gestation) or 2 months after delivery. Two measurements were taken by each operator. Intra-class coefficient correlations were used for analysis. Urethral mobility was clinically assessed by measuring the point Aa of the POP-Q classification during maximum strain (Valsalva maneuver) with an empty bladder.Ultrasound analysis

2019 International urogynecology journal Controlled trial quality: uncertain

182. Buteyko breathing technique for obstructive Eustachian tube dysfunction: Preliminary results from a randomized controlled trial. (Abstract)

) symptom scores, tympanogram, positive Valsalva maneuver were evaluated at baseline, 6-week and 12-week follow-up.Normalization of ETDQ-7 symptom scores at 6-week follow-up was observed in 30.0% (12/40) of the Buteyko breathing group versus 16.2% (6/37) of the controls (P > 0.05). At 12-week follow-up, the ratio rose to 50.0% (20/40) in the Buteyko breathing group and 24.3% (9/37) in the controls (P < 0.05). Tympanogram normalization at 12-week follow-up was observed in 53.6% (15/28) of the Buteyko (...) breathing group versus 26.9% (7/26) of the controls (P < 0.05). The Buteyko breathing group showed slight improvement in positive Valsalva maneuver at 6- and 12-week follow-up (P > 0.05).Our study shows that Buteyko breathing technique might be an effective adjunctive intervention in treatment of obstructive ETD, especially for those patients who are refractory to medical treatment and cannot afford Eustachian tube balloon dilation surgery.Copyright © 2019 Elsevier Inc. All rights reserved.

2019 American Journal of Otolaryngology Controlled trial quality: uncertain

183. Liraglutide-Induced Weight Loss May be Affected by Autonomic Regulation in Type 1 Diabetes. Full Text available with Trip Pro

for 24 weeks in overweight patients with type 1 diabetes. Autonomic function was assessed by heart rate response to deep breathing (E/I ratio), to standing (30/15 ratio), to the Valsalva maneuver and resting heart rate variability (HRV) indices. Associations between baseline the cardiovascular autonomic neuropathy (CAN) diagnosis (> 1 pathological non-resting test) and levels of test outcomes on liraglutide-induced weight loss was assessed by linear regression models. Results: Ninety-nine patients

2019 Frontiers in endocrinology Controlled trial quality: predicted high

184. The Role of Nonpharmacological Methods in Attenuation of Pain Due to Peripheral Venous Cannulation: A Randomized Controlled Study. Full Text available with Trip Pro

The Role of Nonpharmacological Methods in Attenuation of Pain Due to Peripheral Venous Cannulation: A Randomized Controlled Study. Establishing an intravenous access is indispensable for safe administration of anesthesia. Most of the times, it is executed without any analgesia although the pain associated with this procedure is quite agonizing to the patients.This study aims to evaluate the role of 3 different nonpharmacological measures such as Valsalva maneuver, flash of light (...) , and distraction method in attenuation of pain during venous cannulation.A clinical randomized controlled study.Two hundred patients of either sex, aged between 18 and 65 years, posted for elective surgery were enrolled in this study. Patients were randomly allocated into four groups, Group C-control, Group V (valsalva) - blew into sphygmomanometer raising the mercury column up to 30 mm of Hg, Group D (distraction) - pressed a rubber ball and Group L (light) - photographed with a flash of light before venous

2019 Anesthesia, essays and researches Controlled trial quality: uncertain

185. Dried salted plum consumption ameliorates hyperbaric oxygen therapy-induced otalgia severity at the first chamber session: a prospective randomized controlled study. (Abstract)

were included in the present prospective randomized controlled trial. The Valsalva maneuver was administered to all patients before HBO₂. The patients were randomly divided into two groups: one that ate a dried salted plum during HBO₂ treatment and the other that did not. An otoscopic examination was performed after HBO₂ therapy. The MEB was graded according to Teed scores. The degree of otalgia was recorded using the Visual Analog Scale (VAS).Ninety patients were enrolled. The overall incidence

2019 Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc Controlled trial quality: uncertain

186. Long-term Outcomes of Balloon Dilation for Persistent Eustachian Tube Dysfunction. (Abstract)

was observed by 93.6% (44/47) participants. The revision dilation rate was 2.1% (1/47). Among participants with abnormal baseline middle ear assessments, 76.0% had normalized tympanic membrane position (p < 0.0001), 62.5% had normalization of tympanogram type (p < 0.001), and 66.7% had positive Valsalva maneuvers (p < 0.0001). Participant satisfaction was 83.0% at long-term follow-up.Balloon dilation results in durable improvements in symptoms and middle ear assessments for patients with persistent

2019 Otology and Neurotology Controlled trial quality: uncertain

187. Vagal and Sympathetic Function in Neuropathic Postural Tachycardia Syndrome. Full Text available with Trip Pro

. We compared them to 10 healthy subjects. We assessed hemodynamics, heart rate and blood pressure variability, baroreflex sensitivity, raw and integrated muscle sympathetic nerve activity, and blood volume. To understand the vagal/sympathetic control, we dissected the phase 2 of Valsalva maneuver (VM) into early (VM2e) and late (VM2l). POTS' upright heart rate increased 43±3 bpm. Patients had normal plasma volume but reduced red blood cell volume (1.29 L versus predicted normal values 1.58 L; P

2019 Hypertension

188. Effort Thrombosis Provoked by Saxophone Performance. (Abstract)

effort thrombosis of the internal jugular vein. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: To our knowledge, this is the first documented case of PSS resulting from venous stasis with prolonged Valsalva maneuver and vascular trauma with activity of playing the saxophone. The significance of this case is the unusual etiology of a rare presentation and the ability to diagnose this condition quickly and accurately with POCUS.Copyright © 2018 Elsevier Inc. All rights reserved.

2019 Journal of Emergency Medicine

189. Effects of full-fat dairy products on subclinical vascular function in adults with elevated blood pressure: a randomized clinical trial. (Abstract)

(cfPWV) did not differ significantly between high dairy (11.3 ± 0.3 versus 10.9 ± 0.3 m/sec) and no dairy conditions (11.2 ± 0.3 versus 11.0 ± 0.3 m/sec). The results were consistent when ultrasound-derived vascular distension measures (arterial compliance, beta-stiffness index, and elastic modulus) were evaluated. Cardiovagal baroreceptor sensitivity (via Valsalva maneuver) demonstrated no significant difference for either dietary condition. Brachial arterial flow-mediated dilation (FMD) did

2019 European journal of clinical nutrition Controlled trial quality: uncertain

190. Sensitivity of contrast-enhanced transthoracic echocardiography for the detection of residual shunts after percutaneous patent foramen ovale closure. Full Text available with Trip Pro

patients with PFO who had experienced migraines underwent percutaneous PFO closure. c-TTE, TEE, and contrast-enhanced transcranial Doppler (c-TCD) at resting and Valsalva maneuver were performed during the 3-month follow-up after the closure.The closure devices were successfully implanted in all patients without complications. Three months after closure, TEE did not detect residual Valsalva shunts in any of the 57 patients; residual valsalva shunts were found via c-TTE in 15 of the 57 patients and were

2019 Medicine

191. Effects of different respiratory maneuvers on esophageal sphincters in obese patients before and during anesthesia. (Abstract)

Effects of different respiratory maneuvers on esophageal sphincters in obese patients before and during anesthesia. Data on esophageal sphincters in obese individuals during anesthesia are sparse. The aim of the present study was to evaluate the effects of different respiratory maneuvers on the pressures in the esophagus and esophageal sphincters before and during anesthesia in obese patients.Seventeen patients, aged 28-68 years, with a BMI ≥ 35 kg/m², who were undergoing a laparoscopic gastric (...) by-pass surgery, were studied, and pressures from the hypopharynx to the stomach were recorded using high-resolution solid-state manometry. Before anesthesia, recordings were performed during normal spontaneous breathing, Valsalva and forced inspiration. The effects of anesthesia induction with remifentanil and propofol were evaluated, and positive end-expiratory pressure (PEEP) 10 cmH₂O was applied during anesthesia.During spontaneous breathing, the lower esophageal sphincter (LES) pressure

2010 Acta Anaesthesiologica Scandinavica

193. Breathlessness

"painless" heart attacks recommends that standard guidelines should be followed in the management of people with painless myocardial infarction [ ]. Management of supraventricular tachycardia (SVT) Recommendations are based on a Cochrane Review on the use of the Valsalva Maneuver in SVT [ ] and expert opinion published in the Oxford handbook of General Practice [ ]. the Oxford textbook of medicine [ ] and guidelines published by the Resuscitation Council (UK) [ ]. Management of acute asthma (...) of hypercapnia; or critically ill Identify and treat people with clinical features of: : give aspirin 300 mg. . Give an intravenous diuretic, opioid, and anti-emetic (for example furosemide 20 mg to 50 mg slowly, diamorphine 2.5 mg to 5.0 mg slowly (over 5 minutes), and metoclopramide 10 mg). Also give glyceryl trinitrate [GTN] spray, two puffs sublingually. (SVT). Attempt to terminate the arrhythmia, using a valsalva manoeuvre or carotid sinus massage. For further information, see the CKS topic

2017 NICE Clinical Knowledge Summaries

194. Effects of aerobic or resistance exercise training on cardiovascular autonomic function of subjects with type 2 diabetes: A pilot study. (Abstract)

during a standardized Valsalva maneuver using two indexes, b2 and b4, considered an expression of baroreceptor sensitivity and peripheral vasoactive adaptations during predominant sympathetic and parasympathetic drive, respectively. After training, the LF/HF ratio, which summarizes the sympatho-vagal balance in HRV control, was similarly decreased in the AER and RES groups. After AER, b2 and b4 significantly improved. After RES, changes of b2 were of borderline significance, whereas changes of b4 did

2018 Nutrition, metabolism, and cardiovascular diseases : NMCD Controlled trial quality: uncertain

195. [Microscopic spermatic vein ligation for the treatment of varicocele]. (Abstract)

groups of patients in the internal diameters of the spermatic vein during eupnea and Valsalva maneuver, the reflux time of the spermatic vein, blood flow parameters of the testicular artery, and semen quality before and at 3 months after surgery.At 3 months after surgery, the experimental group, as compared with the control, showed significantly decreased reflux time of the spermatic vein ([0.41 ± 0.10] vs [1.08 ± 0.10] s, P <0.05) and peak systolic velocity (9.26 ± 1.35 vs 10.64 ± 1.28, P <0.05 (...) ) and resistance index (0.52 ± 0.03 vs 0.61 ± 0.03, P <0.05) of the testicular artery but markedly increased internal diameters of the spermatic vein during eupnea ([1.63 ± 0.07] vs [1.59 ± 0.06] mm, P <0.05) and Valsalva maneuver ([1.72 ± 0.05] vs [1.68 ± 0.07] mm, P <0.05), sperm concentration ([46.84 ± 5.24] vs [35.35 ± 4.26] ×10⁶/ml, P <0.05), sperm motility ([63.75 ± 7.73] vs [53.87 ± 6.46] %, P <0.05), and total sperm count ([89.54 ± 7.95] vs [75.24 ± 8.43] ×10⁶/ml, P <0.05).Microscopic spermatic vein

2018 Zhonghua nan ke xue = National journal of andrology Controlled trial quality: uncertain

196. Structural changes in puborectalis muscle after vaginal delivery. Full Text available with Trip Pro

Structural changes in puborectalis muscle after vaginal delivery. To evaluate the structural composition of the puborectalis muscle before and at several timepoints after first vaginal delivery, by the use of echogenicity and area measurements, in order to explore its recovery.Twenty nulliparous women with a singleton pregnancy underwent 3D/4D transperineal ultrasound assessments at rest, on pelvic floor muscle contraction and on Valsalva maneuver at 12 weeks' gestation and at 1 day and 1, 2, 3 (...)  weeks after delivery. Although not statistically significant, a decrease in MEP was observed between 3 and 4 weeks after delivery for all maneuvers. PMA at rest and on Valsalva maneuver remained constant after delivery.When compared with measurements taken during pregnancy, a sharp decrease in MEP was observed soon after vaginal delivery, which was most likely caused by stretch trauma to the puborectalis muscle and subsequent formation of (micro) hematoma and edema. Subsequent increases in MEP may

2018 Ultrasound in Obstetrics and Gynecology

197. Effect of Patent Foramen Ovale in Patients With Pulmonary Hypertension. (Abstract)

and if negative repeatinjection after Valsalva maneuver. Echocardiographic and hemodynamic data were examined. Survival was modeled using Kaplan-Meier method. Eisenmenger syndrome or known atrial shunts other than PFO were excluded: 292 patients met entry criteria. A PFO was identified in 16.8% of the entire cohort, 22.9% of pulmonary arterial hypertension (PAH) patients, and 8.6% of Dana Point group 2 PH patients. Right atrial to pulmonary capillary wedge pressure difference was lowest in the latter group (...) to inability of Valsalva maneuver to overcome right atrial to pulmonary capillary wedge pressure difference. In conclusion, the incidence of a PFO in the PH population increases with more dilated and dysfunctional RVs, suggesting that the PFO may be stretched open rather than congenital. The presence of a PFO does not impact survival in PH or PAH.Copyright © 2018. Published by Elsevier Inc.

2018 American Journal of Cardiology

198. Management of Supraventricular Tachycardia of Children

about in all cases: Clinical examination and ECG at presentation,Physical maneuvers(vagal stimulation),Drug therapy including:adenosine and other antiarrythmic drugs as Flecainide,propranolol,amiodarone,digoxin and verapamil. Appropriate dose of drugs,Putting on monitor ECG during treatment,Synchronized DC cardioversion in hemodynamically unstable cases. Yes ,No ,℅ of the folowing, Clinical examination and ECG at presentation Vagal manoeuvers,diving reflex,One side carotid massage,Valsalva manoeuvre

2018 Clinical Trials

199. Clinical Study to Evaluate Mavacamten (MYK-461) in Adults With Symptomatic Obstructive Hypertrophic Cardiomyopathy

to perform an upright CPET and has a respiratory exchange ratio (RER) ≥1.0 at Screening per central reading LVOT gradient with Valsalva maneuver >=30 mmHg at Screening determined by echocardiography core lab Key Exclusion Criteria: Known infiltrative or storage disorder causing cardiac hypertrophy that mimics oHCM, such as Fabry disease, amyloidosis, or Noonan syndrome with LV hypertrophy History of syncope or sustained ventricular tachyarrhythmia with exercise within 6 months prior to Screening History (...) prior to Screening) or planned treatment during the study with disopyramide or ranolazine Treatment (within 14 days prior to Screening) or planned treatment during the study with a combination of β-blockers and calcium channel blockers LVOT gradient with Valsalva maneuver <30 mmHg at Screening Has been successfully treated with invasive septal reduction (surgical myectomy or percutaneous alcohol septal ablation [ASA]) within 6 months prior to Screening or plans to have either of these treatments

2018 Clinical Trials

200. Assessment and Comparison of Biomarkers in Women With Symptoms of Overactive Bladder (OAB) and Pelvic Organ Prolapse (POP)

will be assessed through the following questionnaires: (a) ICIQ-OAB (b) ICIQ FLUTS (c) ICIQ-VS. Determination of the bladder neck of urethra in midsagittal plane using a transvaginal two-dimensional ultrasound machine at lithotomy position in rest (point OA) and on Valsalva maneuver (point OB). Bladder Neck Mobility is defined as the difference from point OA to OB. BWT is determined and measured as the hypoechoic layer between two hyperechoic layers that is recognized as the urothelium and the perivesical (...) a transvaginal two-dimensional ultrasound machine at lithotomy position in rest (point OA) and on Valsalva maneuver (point OB). Bladder Neck Mobility is defined as the difference from point OA to OB. BWT is determined and measured as the hypoechoic layer between two hyperechoic layers that is recognized as the urothelium and the perivesical tissue using a transvaginal two-dimensional ultrasound machine at lithotomy position. The measurement is performed with a bladder volume <30 ml and is taken place in 3

2018 Clinical Trials

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